Tournament Travel Permit and Payment Form (Burlington City Rep Hockey Club)

Print Tournament Travel Permit and Payment Form

Please fill this form out to start the travel permit and payment process for your Eagles team's tournament.

Personal Information

Your Name^*
Email^*

Your submission will be sent to this address for confirmation.

Travel Permit Information

Team Name^*
Travel Permit Type:^*
Tournament Name^*
Location^*
Sanction Permit #:^*

Please find the Sanction Permit # on the tournament's website.

Date From:^*

Open the calendar popup.

To:^*

Open the calendar popup.

Tournament Allotment

Tournament Number^*

What number of tournament is this for your team? The Eagles will cover costs for the first three tournaments for a team; any additional tournament is the responsibility of the parents. For any 4th or 5th tournament, please do not fill out the deposit or payment information.
In-Season or Out-of-Season^*

Is this tournament during the Regular season? (In-season) - Or is it an Early Bird, Christmas, or Post-Season? (Out-of-Season)

TOTAL COST OF TOURNAMENT^*

This is the total cost of tournament registration
Funds^*
CDNUS
Was there a deposit required?^*

If "NO", then please skip the next section.

DEPOSIT Reimbursement

Please fill out this section to be reimbursed for the deposit you paid. If no deposit was needed, please skip to the next section. IF THIS IF YOUR TEAM'S 4TH OR 5TH TOURNAMENT, PLEASE SKIP THIS SECTION.

Amount of Deposit
Payable To
Mailing Address: Street
City, Province
Postal Code
Please scan and attach Proof of Payment if a Deposit has been made by the team.

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
Maximum # Files: 2. Maximum File Size: 4MB.
Additional Notes?

TOURNAMENT PAYMENT Reimbursement

Please fill out this section to either get reimbursed for your payment, or have the Eagles send payment to the tournament. IF THIS IF YOUR TEAM'S 4TH OR 5TH TOURNAMENT, PLEASE SKIP THIS SECTION.

Amount of Payment

Total tournament registration LESS deposit paid
Payable To:
Mailing Address: Street
City, Province
Postal Code
If payment for a tournament is being paid by personal credit card, please scan and attach Proof of Payment.

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
Maximum # Files: 2. Maximum File Size: 4MB.
Additional Notes?

Human Validation

Check The Box ^*

Tournament Travel Permit and Payment Form (Burlington City Rep Hockey Club)

OMHA Digital Network

Get Mobile!

Contact Us